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Telehealth Reimbursement

Complex Medicaid Rules Limit FQHC, Safety-Net Telehealth Use

March 14, 2019 - Reimbursement and other policy and organizational issues are keeping safety-net clinics and federally-qualified health centers (FQHCs) from telehealth adoption and use, according to a new report from the RAND Corporation. This comes even as telehealth is touted as an effective tool to expand patient care access, which is one of the fundamental goals of a safety net...


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Congress to Try Again on Medicare Coverage for Telemental Health

by Eric Wicklund

Congress is taking another stab at legislation that would expand telehealth access for Medicare beneficiaries seeking mental health services at home. The Mental Health Telemedicine Expansion Act (HR 1301), reintroduced last month by Reps....

Georgia Senate OKs Out-of-State Telemedicine, Telehealth Parity

by Eric Wicklund

Georgia lawmakers are pushing forward with a pair of telemedicine bills that would enable providers in other states to deliver virtual care in the state, while mandating that payers cover telehealth services at the same rate as in-person...

Maryland Mulls Medicaid Reimbursement for Telemental Health Services

by Eric Wicklund

Maryland lawmakers will soon be debating a bill that aims to reimburse psychiatric services delivered through telemedicine for residents on the state’s Medicaid program. HB 1200, submitted earlier this month, would require the...

CMS Pushes Telehealth to Replace Some In-Person Visits in MA Plans

by Eric Wicklund

Healthcare providers treating patients on Medicare Advantage plans may soon be able to use telehealth in place of in-person care when appropriate. The update was one of several unveiled Friday by the Centers for Medicare & Medicaid...

CMS Pushes Telehealth, mHealth, But Are Providers Paying Attention?

by Eric Wicklund

Many hospitals and health systems aren’t prepared to take advantage of new reimbursement opportunities for mHealth and telehealth. That’s the takeaway from a survey conducted by Reaction Data, which finds that providers...

Reimbursement Barriers Still Plague Telemental Health Expansion

by Eric Wicklund

Federal and state efforts to boost telemental health may be blossoming – in particular for students, seniors and veterans – but “a lack of meaningful coverage and reimbursement rules” means the telemedicine...

CMS to Reimburse Providers for Remote Patient Monitoring Services

by Eric Wicklund

The Centers for Medicare & Medicaid Services has finalized plans to reimburse healthcare providers for certain remote patient monitoring and telehealth services. CMS this week issued its final 2019 Physician Fee Schedule and Quality...

CMS Proposes Telehealth Expansion for Medicare Advantage Plans

by Eric Wicklund

The Centers for Medicare & Medicaid Services is looking to expand telehealth access for members enrolled in Medicare Advantage plans. As part of a 362-page proposal issued on October 26, the Centers for Medicare & Medicaid...

CCHP Report Shows States Are Still Looking For Value in Telehealth

by Eric Wicklund

Anyone looking for that fabled tipping point in telehealth reimbursement and adoption will have to wait a bit longer. The latest edition of the Center for Connected Health Policy’s State Telehealth Laws and Reimbursement Policies...

Pennsylvania Legislature Fails to Pass Telehealth Parity Bill

by Eric Wicklund

Pennsylvania lawmakers have balked on proposed legislation to establish payment parity for telehealth, following strong lobbying from the payer industry. Senate Bill 780, introduced earlier this year by State Sen. Elder Vogel, would have...

Illinois OKs Medicaid Coverage for Mental Health Via Telehealth

by Eric Wicklund

Illinois Gov. Bruce Rauner has approved legislation mandating the state’s Medicaid program to reimburse behavioral and mental health providers for telehealth. The bill was one of five signed into law this week by Rauner, all...

CMS Overhaul of ACO Rules Includes a Nod to Telehealth’s Value

by Eric Wicklund

A federal effort to revamp the rules around Accountable Care Organizations includes a few nods to telehealth and telemedicine, giving healthcare providers hope that connected care platforms will become more prominent in an overhauled...

CMS Makes a ‘Landmark Change’ in RPM, Telehealth Reimbursement

by Eric Wicklund

Earlier this month, the Centers for Medicare & Medicaid Services unveiled its proposed 2019 Medicare Physician Fee Schedule and Quality Payment Program, with several amendments designed to boost remote patient monitoring and telehealth...

State Medicaid Programs Are Seeing the Value of Telehealth at Home

by Eric Wicklund

State lawmakers are coming around to the concept of allowing Medicaid members to access telehealth and telemedicine services from their own homes. In its spring 2018 update of the State Telehealth Laws and Reimbursement Policies Report,...

Feds Take CMS to Task Over Improper Telehealth Reimbursements

by Eric Wicklund

About three of every 10 Medicare reimbursements for telehealth in 2014-15 were made in error, according to a recent audit by federal regulators. The U.S. Health and Human Services Department of the Inspector General announced last week...

Senate Bill Expands Rural Access to Telehealth in Iowa

by Jessica Kent

A bill approved by the Iowa Senate requires health insurers to cover both telehealth and in-person services equally and could expand rural access to telemedicine, particularly in specialty areas such as psychiatry. “Telehealth...

CT Employers, Payers Oppose Fixed Rates for Telehealth Services

by Kyle Murphy, PhD

A recent hearing to discuss a bill to allow Connecticut physicians to provide telepsychiatry services saw employers and health plans in the state opposing a measure to pay for these telehealth services at the same rate as in-person...

Utah Lawmakers, Payers Grapple Over Telemental Health Legislation

by Eric Wicklund

Utah lawmakers are grappling with proposed legislation that would require insurers to cover telemental health consults. HB 139, sponsored by Rep. Steve Eliason (R.-Sandy), would mandate that the state’s Medicaid program and private...

OIG Expands Telehealth, Telemedicine Audits to Medicaid Claims

by Eric Wicklund

Healthcare providers will be checking to make sure their telehealth and telemedicine programs comply with state Medicaid regulations following news that the Health and Human Services Department’s Office of the Inspector General will...

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